Content Barriers to Pediatric Uptake of Electronic Health Records

Gracy, Delaney; Weisman, Jeb; Grant, Roy; Pruitt, Jennifer; Brito, Arturo

doi:10.1016/j.yapd.2012.04.004

Cited by 16 publications

(15 citation statements)

References 31 publications

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“…A 2009 study of EHR adoption in pediatric ambulatory settings demonstrated that needed functions (weight-based dosing, anthropometric analysis, immunization forecasting) were missing in ambulatory EHRs. 1 The lack of pediatric specific content 2 and functionality as delineated in the Model Pediatric EHR Format by the Agency for Healthcare Quality and Research 3 remains a barrier to implementation and use of EHRs.…”

Section: What This Study Addsmentioning

confidence: 99%

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Use of Electronic Health Record Systems by Office-Based Pediatricians

et al. 2015

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Section: What This Study Addsmentioning

confidence: 99%

“…2 More research on best practices and the effects of EHRs on pediatric offices is necessary to develop improvements needed to increase pediatricians' confidence in EHR technology.…”

Section: Pediatric Functionalitymentioning

confidence: 99%

Use of Electronic Health Record Systems by Office-Based Pediatricians

et al. 2015

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“…Thus, when eRx is generated in the hospital setting, transmission is impeded by the lack of uniform product codes and descriptors. As Gracy and others have noted, “Available EHR systems generally do not adequately reflect the needs of children and pediatric care providers” [ 17 ]. This is especially true of prescription-generation functions within these systems, and there is little appreciation of the complexity of complete eRx creation and transmission for children’s therapies [ 18 ].…”

Section: Pharmacy-related Hit Across the Continuum Of Care For Paementioning

confidence: 99%

Positioning a Paediatric Compounded Non-Sterile Product Electronic Repository (pCNPeRx) within the Health Information Technology Infrastructure

Parrish¹

2015

Pharmacy

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Numerous gaps in the current medication use system impede complete transmission of electronically identifiable and standardized extemporaneous formulations as well as a uniform approach to medication therapy management (MTM) for paediatric patients. The Pharmacy Health Information Technology Collaborative (Pharmacy HIT) identified six components that may have direct importance for pharmacy related to medication use in children. This paper will discuss key positions within the information technology infrastructure (HIT) where an electronic repository for the medication management of paediatric patients’ compounded non-sterile products (pCNP) and care provision could be housed optimally to facilitate and maintain transmission of e-prescriptions (eRx) from initiation to fulfillment. Further, the paper will propose key placement requirements to provide for maximal interoperability of electronic medication management systems to minimize disruptions across the continuum of care.

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“…Even with progress in digitizing US hospitals and physicians' offices, 15 subsequent research into usability, implementation, patient safety, and cost and value of EHRs 16,17 has demonstrated that much work remains to improve the quality, functionality, usability, and effectiveness of inpatient pediatric HIT systems. 18,19 In 2012, children younger than 18 years accounted for 24.1% of the population of the United States. 20 Children and infants are a vulnerable population because of age-specific physiologic and developmental variances that may not be adequately addressed by adult-specific data tools.…”

Section: Introductionmentioning

confidence: 99%

Pediatric Aspects of Inpatient Health Information Technology Systems

Lehmann¹,

Weinberg²,

Alexander³

et al. 2015

Pediatrics

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Clinical Health Act accelerated the adoption of electronic health records (EHRs) with providers and hospitals, who can claim incentive monies related to meaningful use. Despite the increase in adoption of commercial EHRs in pediatric settings, there has been little support for EHR tools and functionalities that promote pediatric quality improvement and patient safety, and children remain at higher risk than adults for medical errors in inpatient environments. Health information technology (HIT) tailored to the needs of pediatric health care providers can improve care by reducing the likelihood of errors through information assurance and minimizing the harm that results from errors. This technical report outlines pediatric-specific concepts, child health needs and their data elements, and required functionalities in inpatient clinical information systems that may be missing in adult-oriented HIT systems with negative consequences for pediatric inpatient care. It is imperative that inpatient (and outpatient) HIT systems be adapted to improve their ability to properly support safe health care delivery for children.

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Content Barriers to Pediatric Uptake of Electronic Health Records

Cited by 16 publications

References 31 publications

Use of Electronic Health Record Systems by Office-Based Pediatricians

Use of Electronic Health Record Systems by Office-Based Pediatricians

Positioning a Paediatric Compounded Non-Sterile Product Electronic Repository (pCNPeRx) within the Health Information Technology Infrastructure

Pediatric Aspects of Inpatient Health Information Technology Systems

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